Policy changes Backwork has recorded, newest first. The most recent change on record is from October 24, 2026. Changes appear here after Backwork reviews and applies a refresh, so this page can trail the payers’ own sites.
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
86,510 on record
| Recorded | Payer | Policy | Change |
|---|---|---|---|
| May 17, 2026 | WPS Government Health Administrators | MolDX: Pigmented Lesion Assay | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Next-Generation Sequencing Lab-Developed Tests for Myeloid Malignancies and Suspected Myeloid Malignancies | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Plasma-Based Genomic Profiling in Solid Tumors | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Next-Generation Sequencing for Solid Tumors | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Melanoma Risk Stratification Molecular Testing | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Inivataâ¢, InVisionFirst®, Liquid Biopsy for Patients with Lung Cancer | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Envisiaâ¢, Veracyteâ¢, Idiopathic Pulmonary Fibrosis Diagnostic Test | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Breast Cancer Index® (BCI) Gene Expression Test | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MDS FISH | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: EndoPredict® Breast Cancer Gene Expression Test | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Prometheus® IBD sgi Diagnostic® Policy | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Frequency of Hemodialysis | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Wound Care | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | BDX-XL2 | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Decision Dx-UM (Uveal Melanoma) | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Chemotherapy Drugs and their Adjuncts | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Oncotype DX® Breast Cancer for DCIS (Genomic Healthâ¢) | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Visual Electrophysiology Testing | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | ProMark® Risk Score | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: HLA-DQB1*06:02 Testing for Narcolepsy | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: MGMT Promoter Methylation Analysis | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Polysomnography and Other Sleep Studies | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Breast Cancer Assay: Prosigna® | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Molecular Diagnostic Tests (MDT) | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Lab: Special Histochemical Stains and Immunohistochemical Stains | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: NRAS Genetic Testing | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Biomarkers in Cardiovascular Risk Assessment | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Allergen Immunotherapy (AIT) with Subcutaneous Immunotherapy (SCIT) | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Allergy Testing | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | MolDX: Genetic Testing for Hypercoagulability/Thrombophilia (Factor V Leiden, Factor II Prothrombin, and MTHFR) | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Percutaneous minimally invasive fusion/stabilization of the sacroiliac joint for the treatment of back pain | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Non-Coronary Vascular Stents | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Non-Invasive Peripheral Arterial Vascular Studies | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Non-Invasive Abdominal / Visceral Vascular Studies | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Non-Invasive Cerebrovascular Studies | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Non-Invasive Peripheral Venous Vascular and Hemodialysis Access Studies | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Removal of Benign Skin Lesions | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Mohs Micrographic Surgery | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Category III Codes | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Pelvic Floor Dysfunction: Anorectal Manometry and EMG | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Nerve Blocks for Peripheral Neuropathy | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Autonomic Function Testing | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Coronary Computed Tomography Angiography (CCTA) | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Immune Globulins | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Percutaneous Coronary Interventions | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Endoscopic Treatment of GERD | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Vitamin D Assay Testing | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Bisphosphonate Drug Therapy | Criteria changed |
| May 17, 2026 | WPS Government Health Administrators | Psychological and Neuropsychological Testing | Criteria changed |